Active NPI
Bethany Sivak, DPT
- Physical Therapist
- Erie, PA
National Provider Identifier
1114521903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028868
- Practice address
- 2111 W 8TH St
Erie, PA 16505-4707 - Phone
- (814) 456-5151
- Fax
- (814) 878-2911
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT028868 | PA | Primary |
Addresses
Primary practice location
2111 W 8TH St
Erie, PA 16505-4707
Mailing address
2111 W 8TH St
Erie, PA 16505-4707
Phone (814) 456-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2111 W 8TH St
Erie, PA 16505-4707
Phone (814) 456-5151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Physical Therapy and Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Ashley & Kuzma Therapeutics, P.C. | Physical Therapist | Current | Accepting new patients |
| Kuzma Physical Therapy and Sports Medicine LLC | Physical Therapist | Past | Accepting new patients |
Locations
2111 W 8th St
Erie, PA 16505
Phone (814) 456-5151
121 Cranberry Rd
Grove City, PA 16127
Phone (724) 458-9473
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Grove City, PA
- NPI 1558488007
-
- Physical Therapy Clinic/Center
- Waterford, PA
- NPI 1366081168
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1114521903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054707",
"telephone_number": "814-456-5151",
"fax_number": "814-878-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054707",
"telephone_number": "814-456-5151",
"fax_number": "814-878-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAK",
"first_name": "BETHANY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.